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RF-16-2090 w Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-264091 Permit Number: RF-7-16-2090 Scheduled Inspection Date: November 04,2016 Permit Type: Roof Inspector: > GO*,kX-yw o 10%aZ Inspection Type: Final Roof Owner: MCGEE, LORINE Work Classification: Flat Job Address:1201 NE 103 Street Miami Shores, FL Phone Number Parcel Number 1132050200060 Project: <NONE> Contractor: A 1 JOSE JOSE ROOFING CORP Phone: (305)970-0000 Building Department Comments RE-ROOF FLAT TO FLAT Infractio Passed Comments INSPECTOR COMMENTS False 10-13-2016 Met with Mr. Jose Magdaleno, Explain that he needs to request the inspection and will have to do a plug on the roof in order to do the inspection.We are unable to determine if the product use on the site is the product approved for this project. Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 03,2016 For Inspections please call: (305)762-4949 Page 8 of 28 y10 SES Miami Shores Village �i 61 Building Department logo10050 N.E.2nd Avenue Miami Shores, Florida 33138 ORmp► Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit# 9F-7-/(— W'?d DATE: l INSPECTION AFFIDAVIT I JOSE MAGDALENO licensed as a(n Contractor Engineer/Architect, (Print name and circle License Type) FS 468 Building Inspector License#: CCC1326469 On or about 9 �� , I did personally inspect the roof deck nailing and (Date&time) Secondary water barrier work at (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual(Based on A F.S)„ S'n ure State of Florida County of Dade: The undersigned, being the first duly sworn,deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this day o ,;jpq"f4 /-- HENISSECARRIERA c MY COMMISSION#FF 120123 o� Pua� uFa,,s^r r,APRE 0125 ;; : " EXPIRES:May 6,2018 Notary Public, Sate of Florida at Lar r .:. r �,�� ®ondedThruBudget Notary SWIM V Or +V 4,2018 r an k4o yMIA Ler ry Berlin f OF FAD `General,Building,Residential,or Roofing Contractors or any individual certified under 468 F.S.to make such an inspection.Include photographs of each plane of the roof with permit#and address#clearly shown marked on the deck for each inspection Revised on 5/21/2009 Asx , Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 5�;, ` r C , Phone: (305)795-2204 ; ,, � Expiration: 0112212017 Project Address Parcel Number Applicant 1201 NE 103 Street 1132050200060 Miami Shores, FL Block: Lot: LORINE MCGEE Owner Information Address Phone Cell LORINE MCGEE 1201 NE 103 ST MIAMI SHORES FL 33138-2653 Contractor(s) Phone Cell Phone $ 2,900.00 A 1 JOSE JOSE ROOFING CORP (305)970-0000 Valuation: Total Sq Feet: 800 Type of Work:Re Roof Available Inspections: Additional Info:RE-ROOF FLAT TO FLAT Inspection Type: Classification:Residential Scanning:3 Tin Cap Final Roof Roof in Progress Renailing Affidavit Review Roof Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 CCF Invoice# RF-7-16-60741 $1.60 07/26/2016 Check*3449 $771.30 $0.00 DBPR Fee $3.75 DCA Fee $3.75 Bond M 3163 Education Surcharge $0.60 Permit Fee-New Roof $250.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $771.30 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required fkELEjCTRj1CALUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWN R that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating const ore,I authorize the above-named contractor to do the work stated. July 26,2016 Authorized Sig re:Owner / Applicant / Contractor / Agent Date Building Department Copy July 26,2016 1 t Miami Shores Village _ GENE D 2uilding Department ,JUL 2 6 2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20�-lS BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Z20 J 'o- ei� City: Miami Shores County: Miami Dade Zi 3 Folio/Parcel#: Is tits Buffftg Historically Designated:Yes NO Occupancy Type:Q�- Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):�i�/V4� C(y Phone#: -�j��lO- /�Z 9d3 Address: City: State: Zip: 33/x'3 Tenant/Lessee Name: Phone#• Email: r- r CONTRACTOR:Company Name: t)-se fos2 Phone#: Address: 02Q City: S State: / z- Zip:3 -/26 � T Qualifier Name: C' C� �j Phone#: � --om C) State Certification or Registration#: 17d-132-13Z �(o/Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#• Address: c�� llll City: State: Zip: Value of Work for this Permit: Square/Linear Footage of Work: o Type of Work: ❑ Addition ❑ Alteration ❑ New ;E Repair)01�� ❑ Demolition Description of Work: J26-?'"Q oF'-/P7- 72D �=4A9-7"- Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) r Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. JIMA Signature ®� Signature �Q OWNER or AGENT Cd6RACTOR The foregoing instr t was acknowledged bef re a this The foregoing instrum as acknowledged before me this day o �' 2t-�,by day of 20 by /�� who is personally known to ho is� c to me or who has produced�206 5 V 7 G. (�,y 9 D as me or who has produced as Identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Si Sig Print: `611"aP:B�% HENISSE CARRERA print �o`NR. HENISSE CARRERA Seal: EXPIRES:Q EXPIRES:May 6,2018 Seal: pr, � EXPIRES:May 6,2018 Bonded Thru Bednet Notary Services 'F oP`O Bonded Thru Budget Notary Services ' OF Ft APPROVED BY `[ Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) IM Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 CONTRACTORS' REGISTRATION Fax: (305) 756.8972 IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 Certificate must specify the description of operations or contractor license number. ■rereesr••rrreraeeeeerrrrerrrereeererererrrrerrere�eeeeeeerrrrrereeeeererrreeeereeeeeeerer BUSINESS NAME: A-1 JOSE JOSE ROOFINF CORP BUSINESS ADDRESS: 430.4 ST NE CITY NAPLES STATE FL ZIP 34120 BUSINESS PHONE: 30( 5 ) 970-0000 FAX NUMBER3( 05 ) 769-0866 CELL PHONE 305- 970.0000 QUALIFIER'S NAME: JOSE MAGDALENO QUALIFIER'S LIC NUMBER: C,C'C 13 2(0 V-fv f Kll.K bl,V 11,kxUVC nUK ...nr v..r,....., «... .. STATE OF FLORA DEP'AIT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CCC132*se The ROOFING CONTRACTOR h • NwW below IS CERTIFIED UaWlertto WW sim s of ChapW489 FS. -- E*kadm dabs: AUG 81.2048-I JOSE 40M AUM.JOSE - F CORP 430 4TrrF�S'T N-,E, •. . . .;; + -�^-' ;. '"�- ''•�;;`': .:~ .''.', ., NAPLES ' _FL4 �`*�.`+,. 3 ISSUEV. 07'/24M4 DISPLAYAS REQUIRED BY LAW SEGO L1407240 OM Local Business Tax Receipt Miami—Dade County,State of Florida THIS IS NOTA BSL-DO NOT PAY �%LBT�� 2323251 SUStN686 KWGILOCATION ANCO T NQ EXPIRES A 1 JOSE JOSE ROOFING CORP RENEWAL SEPTEMBER 30, 201$ 4501 SW 113 AVE 2442143 Must tw displayed at piece of business MIAMI, FL 33186 Fumant to County Code Chapter BA-Art,9&10 OYYNSR SEC.TYPE OF BUSINESS PAYMENT RECEIVED A 1 JOSE JOSE ROOFING CORP 196 SPECIALTY BUILDING EY TAX COLLECTOR CONTRACTOR 75,00 09130/2015 Worker(s) 1 CCC1326469 0224-15-008471 This Inca)Bm[aea T"MwIpto*coa8ems psTate d tis local Barhlaa Tax Tia RWWO Is a*a kfasa, Permit or a cad"of the lmtders quellikoft e,m dobmiassa.ower awst fir with wj goverm ew or�i rapele"lavas and aWww0 whish ap*retia baslam Tse11NIVINO.above wotbedirplooatall ounwwcialvAbles-lNu -Bade Code Son/a-27& For mors bdotatetian,risk ACORC]�' CERTIFICATE OF LIAB1MY INSURANCE F"Te%umff" 08Nef1018 THIS CERTIFICATE IS MWED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.TH)S CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF iNSKIRANCE DOES MOT CONSTITUTE A CONTRACT BETWEEN THE MWNG INSUREP44 AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT:If ffr carifflimile holder Is an ADDITIONAL INSURED,the Pollcomm)must W endorsed.it SUN UMTWN IS WAIVED.subject to the terms and condIdam of the pWq cmtahl policks may require an endorsement A statement on this cwtificalm doss not confer rWft to the cmdrdmis holder In esu of such mndomeme s). PRODUC N t�teisis Rias FA hourance Services Corp. 88 713-5224 844 7894005 8353 SW 124 Street Sults 205E (aLna ,Wrl AFFORDINGCOYERAGE _ MMCs Pirmc rest FL 33156 MIMM dtA; UNITED SPECIALTY INSURANCE COMPANY 12537 INSURED ORN1t�t 9 A-1 JOSE JOSE ROOFING CORP. ego; 4501 SW 113TH AVENUE wmt D; EBiURER E- %kMI FL 33185 F; CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 11mEOFerouwle►CE POLIf.wmum R umm IOMMERCIALOEMERALUAaW1Y EACH OCCURRENCE s 1,000,000 CUUMB.All40E X❑OCCUR i S 100,000 mw ExP one S 2.000 A Y N DCG02381-00 11/23/2015 1112312016 PERSONALamv9u w $ 1,000,000 QMACKIARGATELWAPPUESPER CD?JERALALiIr1�6ATE s 2,00,000 POLICY 0 JJEECT LOC PRODUCTS-COMPIOP Aso s 1,000,000 BUPO$1000 DED 3 $1,000 AUTOMDSDS UASS11Y $ (EA—mord) ANY AUFO BOWYWURY0%rpersw) S ALLOWNED SCHEDULED Al1TD8 AUrO& BODII Y OLIURY(Par accigent) 8 FLARED AUTOS NON-OWNED g s UMBRELLA UANOCCUR EACH OCCURREMCE a EXCESS VAS CLA948H4ADE AmcIRBaAA1E $ D D RETENTION S : WDRIMM CDW4249AMON ANDEIetiWYEFwLuuiLnY YIN R AI 399 EXrLUDED4 E MIA E.L.EACH ACCIDENT I'- Ila OF OB--a MIQ E.L.D►.4EI4SE-EA EMPLO ! PE =MIbeRm E.LDISEASE-POLICY LUff DESCRIPTION Oi OFERATNMis r LOCItTM NBl VEIeCLCB�t.ORD 101,AA aa�Rxl�ia QahMtaFs mey br ttfaahsd R n�as o opus/ Is ra9*Od) DESCRIPTION OF OPERA17ONS: ROOFING CONTRACTORS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POI ICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN MIMI Shores B"rO Department ACCORDANCE VKM THE POLICY PAOYMiONS. 10050 NE 2nd Avenue ALIn1ORfMIM REPIIESENTATNE Miami Shares,FL 33138 �r4&—� ®1888 3014 ACORD CORPORATION.All rhglda reserved. ACORD 25(2014IG1) The ACORD name and logo are rrgttned mwIm of ACORD JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION `CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the Individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 8/13/2015 EXPIRATION DATE: 8/12/2017 PERSON: MAGDALENO JOSE FEIN: 850121871 BUSINESS NAME AND ADDRESS: A-1 JOSE JOSE ROOFING CORP 430 4TH STREET NE NAPLES FL 34120 SCOPES OF BUSINESS OR TRADE: LICENSED ROOFING CONTRACTOR PWrAMb 44&M4t F.S..an COMA a 1Wft0iiN moupwqqrr mvaamtdcae&od grommummi nal taaoMr D�Lb mI� Bdo Pu7ggrol b iZ),F8�Cmldaa>af tl e4atlan b h0 blit._ m+ly mm i tl° n. fl ' eYb tmWaYiAeN�s�ftlih o"%PAMOf acaltikWe TSD dopammal ow( DFS-F2-DwC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1809 ♦S1;sc,>�S M Aef ..., Miami shores V � o�e Building Department LORIDA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305)756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers'compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami-Dade 4�"�The foregoing was acknowledge before me this day o ,20 11? By �� /�'� who is personally known to me or has produced as identification. No HENISSE CARRERA SEAL MY COMMISSION#FF 120123 EXPIRES:May 6,2018 ��NTFOF F�o�\oP Bonded Thru Budget Notary Services A-1 JOSE JOSE ROOFING CORPORATION alafto aw "8 jam UnWWWO h"PGCW 4W 4TH STREET N.E..roams.FL 34120Lim#SM105 State UO.CCC#132"0 (30)970—W0 Dade County I.ic.CCC#IW?7 Est rgas June 28,2016 State of Florida County of Miami-Dade Before me this day personally apperared Jose Magdaleno who, being duly sworn,deposes and says: That he will be the only one working on the project located at: 1201 NE 103 Street Miami Shores, FL 33138 Sworn to(or affirmed)and subscribed before me this 28 day of June,2016, by Jos agdal who is personally known NOTARY: SEAL: av•.9<� HENISSE CARRERA vp1 , IN COMINI!FSION#FF 120123 N'? EXPIRES:May 6,2018 >N"eOF F ua�PBonded?hruSidgetNotary Services DURABLE POWER OF ATTORNEY 1. I, LORINE MCGEE, of Palm Beach County, Florida, hereby appoint MARTHA I. MCGEE, my true and lawful attorney in fact for me and in my name place and stead, and for my use and benefit: a. To exercise, do, or perform any act, right, power, duty or obligation whatsoever, that I now have or may acquire the legal right, power, or capacity to exercise, do, or perform in connection with, arising out of, or relating to any person, item, things, transaction, real or personal property, tangible or intangible, or matter whatsoever; b. To ask, demand, sue for, recover, collect, receive, and hold and possess all such sums of money, debts, dues, bonds, notes, checks, drafts, accounts, deposits, legacies, bequests, devises, interests, dividends, stock certificates, certificates of deposit, annuities, pension and retirement benefits, insurance benefits and proceeds, documents of title, choices in action, personal and real property, intangible and tangible property and property rights, and demands whatsoever, liquidated or unliquidated, as are now, or shall hereafter become due, owing, payable, owned or belonging to me or in which I have or may acquire an interest, and to have, use and take all lawful ways and means and legal and equitable remedies, procedures, and writs in my name for the collection and recovery thereof, and to compromise, settle, - and agree for the same, and to make, execute, and deliver for me and in my name all endorsements, acquittances, releases, receipts, or other sufficient discharges for the same; C. To lease, purchase, exchange, and acquire, and to bargain, contract, and agree for the lease, purchase, exchange, and acquisition of, and to take, receive and possess any real or personal property whatsoever, intangible or tangible, or interest therein, on such terms and conditions, and under such covenants, as such attorney in fact shall deem proper; d. To improve, repair, maintain, manage, insure, rent, lease, sell, release, convey, subject to liens, mortgages, and hypothecate, and in any way or manner deal with all or any part of any real or personal property, intangible or tangible, whatsoever, or any interest therein, which I now own or may hereafter acquire, for me and in my name, and under such terms, conditions, and under such covenants as such attorney shall deem proper; e. To sign, endorse, execute, acknowledge, deliver, receive, and possess such applications, contracts, agreements, options, covenants, deeds, conveyances, security agreements, bills of sale, leases, mortgages, assignments, insurance policies, bills, bonds, debentures, checks, drafts, notes, stock certificates, proxies, warrants, commercial paper, receipts, withdrawal receipts and deposits instruments relating to accounts or deposits in, or certificates of deposit of, banks, savings and loan or other institutions or associations, proofs of loss, evidence of debts, 1 cqj releases, and satisfaction of mortgages, judgments, liens, security agreements, and other debts and obligations, and such other instruments in writing of whatever kind and nature as may be necessary or proper in the exercise of the rights and powers herein granted. f. To transfer securities and other property, real or personal, to any trust established by me, whether before or after execution of this power, and to make such gifts (to my attorney and others) and such contributions for charitable, religious, educational and public purposes as my attorney may deem advisable in light of my past practice, my estate plan and my desire to minimize current and prospective state and federal income, estate and inheritance taxes. 2. I grant to my attorney in fact full power and authority to do and perform all and every act and thing whatsoever requisite, necessary, and proper to be done in the exercise of any of the rights and powers herein granted as fully to all intents and purposes as I might or could do if personally present, hereby ratifying and confirming all that my attorney in fact shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. 3. This instrument is to be construed and interpreted as a durable power of attorney which shall not be affected by my disability except as provided by statute. The power conferred on said attorney in fact by this instrument shall be exercisable from the date of this incapacity on my part, unless otherwise provided by Statutes of the state of Florida. All acts done by said attorney in fact pursuant to the power conferred during any period of my disability or incompetence shall have the same effect and inure to the benefit of and bind me and my heirs, devisees, and personal representatives, as if I were competent and not disabled. This durable power of attorney shall be non-delegable and shall be valid until such time as I shall die, revoke this power, or be judged incompetent by a court of competent jurisdiction. Dated1993. Signed, sealed and delivered X esence of WITNESS WRIME XCGEE ITNESS 2 V � L C STATE OF FLORIDA COUNTY OF PALM BEACH The foregoing instrument was acknowledged before me this day of , 1993, by, LORINE MCGEE, who is personally known to me zz and who d:bd- (did not) take an oath. NOTARY PUBLICSTATE OF FLORIDA �;� SEAL: OFFICIAL SEAL Barbara Mitts Chancey : My Commission Expires Jan. 19, 1997 .• Comm. No. CC 253814 ACCs to p d: MARTHA 1. MCGIEB 3 Miami-Dade Official Records -Print Document Page 1 of 1 : COURTHOUSE TOWER P ' ' TE Mt I L TION CA49M�O.ti�TOR :! DEPUTY CLERK, CIRdfIT.=Mr °R-. 15556 f0929 NEC to.RICSARD M. bFJi URM, ESQ. property Aees P IderNifi No. 11-3205-020►0000 Adder_9519 NE 2nd A >� MLAINT Qt1IIFc� gl-33= This instrument was prepared by: 928230142 1992 JUN 16 1Sn5I Name RICHARD RL FEIINANDM P.A. Address tail* p7A�td,At�ltw mulm MonaDfLUS" pDs) s tt3re id :.OWSTPOEE 1r650.00 BURTX O.Ot PARSHALL ADERr CLERK DADE COUNTYr €I Grantee S.S.No, Grantee S.S.No. mfuae ISpece abovethisline for recording data] W TY DEED (STATUTORY FORM—SECTION 6ftn F.S.) This Indenture,made this // -1 day of June 1992,BetWeen WAITER A. FIlIMBRICH and LEKA M. FRIMERICH. his wife of the County of Dsde State of Florida ,grantor*,and L. FRA=me= and LORZIqg Mom. his wife whose post office address is 1201 NE 103rd Street, Mini. Mares. FL 33138 of the County of Dade ,State of Florida ,grantee, Witnesseth that said grantor,for and in consideration of the sum of $10.00 O/Vf C ------^----------- –^----__–. ------------------------------—------------ ------—----------Dollars, and other good and valuable considerations to said grantor in hand paid by said grantee,the receipt whereof is hereby acknowledged,has granted,bargained and sold to the said graptee,and grantees heirs and assigns forever,the following described land,situate,lying and being in DPiDE County,Florida,to-wit- Tract 187-A of REVISED PLAT OF SEMON 190. 8 '0F MIAMI SIS, acc to the Plat thereof, as recorded in Plat Book 31, Page 41. of tfie Public Records of rade County, Florida. SUBJE= TD: I. 9:;O .tions, restrictions, limitations and easements of record, if arty, but this prwision shall not operate to ree-impose.Sam. 2.. 2bnimg and other goverrmental regulations. oewwa a.oev,eeu eaoows sous a agar coravn',aoaroa. etcoaa veswro me*of CIMR&COAD" yt .rt1� and said grantor does hereby fully warrant the title to said land,and will defend the same against the lawful claims of all persons whomsoever. "Grantor"And"grantee"are used for singular or plural,as context requires. In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. Signed,sealed and delivered in our presence: " lC / (Seat) FLOMERMH �0%:Lut=� i (Seal) �" 'Z75 ZIIQEC7� a (seal) WI-amus e (Seal) STATE OF COUNTY OF } - / �QA.etJle� I HBRMW CBRTIF•Y that on-this.day before me,an officer duly qualified to take acknowledgments,personally appeared WAi.ZFdt At FMCS sand LE_IJA M. FREDERICH afty Iat)aivn to s ✓ OR wlno produced idesttification to noIUl rson(s.described in dRi1 Mo executed the foregoing inst n art a before me that .the y4s... seal in the County and State last relaid hie ' f A day W ,hale 19 92. M core � :.,• � .7�j/f/J� Pe A L j r.PRINP NAM: E OOI4ILSSION NO.: f C //I- Foe? 6- https://www2.miami-dadeclerk.com/OfficialRecords/PrintDocument.aspx?QS=YaoUfOzx... 6/30/2016 { L Rodde Building Code 5th Edition(2014) ,gAA9 H Ity Hurricane tone Uniform Permit Applica Section A(General Information) Sly OC'®F T eY iesa9e Master Petr A� Contractor' SE JOSE ROOFING CORP AveF ,lob Address 1 NE 103 ST MIAMI SHOR7T,S, ROOFCATEGORY is Low Slope 0 Mechanically Fastened rile 0 Mortar/Adhesive Set Has �L�t1i0 0 Asphaltic Shingles 0 Metal Panet/Shingles 0 Wood Shingles/Shakes 0 Prescriptive BUR-RAS 150 NO GAS VENTS ROOF TYPE 0 Now roof 0 Repair 0 Maintenance IN Reroofing 0 Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area(SF) 800 Steep Sloped Roof AREA(SSF) Total(SF)8OO Section B(Roof Plan) Sketch Roof Plan:Illustrate all levels and sections,roof drains,suppers,overflow scuppers and overflow drains.Include dimen- sions of sections and levels,dearly identify dimensions of elevated pressure zones and location of parapets. 0000.. • 0.0000 0 00 00 •• . • • • •0000 0 0000 0 000•• • 0000 •0000• 0000 600 0000•• :• • � � � 000000 nBY: F' 0 ••• 0 00• 0 0 • 0000•• 0000 • • • 0000 http://floridabuilding2.iccsafe.org/app/book/content/2014 FloridaBuilding%2OCode/Imag... 7/28/2015 i Florida Building Code 5th Edition(2014) High-Velocity Hurricane Zone Uniform Permit Application Form. Section C(Low Slope Application) Top Ply Fastener/Bonding Material: FM in specific roof assembly components and identify HOT ASPHALT manufacturer (If a component Is not used,identify as"NA") Surfacing: Fastener Spacing for Anchor/Base Sheet Attachment: System Manufacturer. GAF Field:_9_2 oc®Lap,#Rows 9® 9 "oc Product Approval No.: 13-1022.15 Perimeter.--9.2 oc® Lap,#Rows A--®g°oc Design Wind Pressures,From RAS 128 or Calculations: Comer. 6 °oc® Lap,#Rows 4 @—92 oc P1: -42.8 P2: 71.7 P3: 408.0 Number of Fasteners Per insulation Board: Field Perimeter Comer Max.Design Pressure,from the sc product approval system: -52. PSF Illustrate Components Noted and Details as Applicable: Woodbloc king,Gutter,Edge Termination,Stripping,Flashing, Continuous Cleat,Cant Strip,Base Flashing,8unterflashing, Type: PLYWOOD Coping,Etc. Indicate: Mean Roof Height. Parapet Height, Height of Base Gauge/Thickness: 5�8 Flashing, Component Material, Material Thickness, Fastener Type,Fastener Spacing or Submit Manufacturers Details that Slope, 0:12 Comply with RAS 111 and Chapter 16. Anchor/Base Sheet&No.of Ply(s): Anchor/Base Sheet FastenerBonding Material: FT. 0 Insulation Base Layer. CAPSHEET MINERAL FA Base Insulation Size and Thickness: SUR CE ParapetHeight Base Insulation Fastener/Bonding M X3 EAVES DRI-A PLY4 26 GA.GALV. Top Insulation Layer. T 13 Top Insulation Size and Thickness: PLYWOOD Mean Roof Top Insulation Fastener/Bonding Material: 75 Height Base Sheets)&No.of Ply(s): 1-75 Base Sheet Fastener/Bonding Material: 11/&R.;;,;jVAILS Sheets)&No.of P�jt(s) 2-PLY 4 0000.: • • ••••Ply She tkastener/ Boddipg Material: '• HOT ASPHALTwo • •"' 0000.. 0 0 0 •.••.• ••• pop Ply*r-CAPSHEET MIAERAL SURFACE • 0000 s • :99009• 0000 90.00 ' • • 999999 99999• •� • • 999999 999999 9999 • • • •••• n 1 Fl ri uil ' ° 20Code/Ima ... 7/28/2015 http://flondabuildmg2.iccsafe.org/app/baok/co tent/20 4 o daB dmg/o g x�* SECTION 1524 HIGH VELOCITY HURRICANE ZONES—REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope.As it pertains to the section,it is the responsibility of roofing contractor to provide the owner with the required roofing permit,and to explain to the owner the content of the section.The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations.Additionally,the following items should be addressed as part of the agreement between the owner ant the contractor.The owner's initial in the designated space indicates that the item has been explained. Mj� Renalling wood decks:When replacing roofing,the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403.(The roof deck is usually concealed prior to removing the existing roof system). Exposed Ceiling:Exposed,open beam ceilings are where the underside of the roof decking can be viewed from glow.The owner may wish to maintain the architectural appearance;therefore, roofing nail penetration of the underside of the decking may not be acceptable.This provides the option of maintaining the appearance. Overflow scuppers(wall outlets):It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimetededge wall or other roof extension may block this discharge if overflow scuppers(wall outlets)are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402,R4403 and R4413. 617 % G Owner/Agents Signature Date C tractor IgnZe D to 42,01 Property Address Permit Number Revised on 719/2009 LD;07/01/2015; ...... ...... ..... .... .... • ...... • 96 ...... .... . . t MIAMI-MADE':=`- MIAMI-DADS COUNTY e PRODUCT CONTROL SECTION 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)31525-99 NOTICE OF ACCEPTANCE (NOA) www.miamidade.Qov/economy GAF 1361 Alps Road Wayne,NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed and accepted by Miami Dade County RER- Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Section(In Miami Dade County)and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes.If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance,if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built-Up Roof Systems for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County,Florida,and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. 00 :...TNSPEC "N q :A gop.7 of this entire NOA shall be provided to the user by the manufacturer or its distributors •••;Ad shall•be atailable'for ihspection at the job site at the request of the Building Official. • This NOA renews aldhi*es NOA No. 13-0424.09 and consists of pages 1 through 16. •••• 'Phe suljmltteq docunm ation was reviewed by Jorge L.Acebo. 90009 600 • •90.06 ••966 •s6• •6•• • • ••6• 0000 • • ••••.• NOA No.: 13-1022.15 •:6. 6 Expiration Date: 11/04/18 6•• rua►anao�Cou •• Approval Date: 11/06/14 *so*** • Page 1 of 16 Membrane Type: BUR Deck Type 1: Wood,Non-insulated Deck Description: 19/32"or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. All General and System Limitations shall apply. Fire Barrier: FireOutT"Fire Barrier Coating,VersaShieie Fire Resistant Roof Deck Protection or (optional) Securock7 Gypsum Fiber Roof Board. Base sheet: GAFGLAS"'#80 Ultima""Base Sheet,Stratavento Eliminator Nailable Venting Base Sheet,Ruberoie 20,Ruberoie SBS Heat-WeldT'Smooth or Ruberoie SBS Heat-Weld T" 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLAS®Ply 4,GAFGLAS®F1exPly 6,GAFGLAS®#75 Base Sheet or any of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9"o.c.at the lap staggered and in two rows 12"o.c.in the field. (Maximum Design Pressure—45 psf.See General Limitation#7) GAFGLAS®Ply 4,GAFGLAS®F1exPly'*m 6,GAFGLAS®#75 Base Sheet or any of above base sheets attached to deck with Drill-TecT" #12 Fastener or Drill-TecT"#14 and Drill- TecT"3"Steel Plate,Drill-Tec"AccuTrae Flat Plate or Drill-Tec'"AccuTraco Recessed Plate 12"o.c.in 3 rows. One row is in the 2"side lap. The other rows are equally spaced approximately 12"o.c. in the field of the sheet. (Maximum Design Pressure—45 psf.See General Limitation#7) GAFGLAS®Flex P1yT" GAFGLAS®#75 BaseSheet any of above base sheets attached to deck with approvedA ps at a fastener spacing of 9" o.c. at the 4"lap staggered and in two rows 9"o.c.in the field. (Maximum Design Pressure—52.5 psf.See General Limitation#7) GAFGLAS®#80 Ultima?Base Sheet,Ruberoie 20,Ruberoie Mop Smooth,base sheet attached to deck with approved 11/4"annular ring shank nails and inverted 3"steel plate at a fastener spacing of 9"o.c.at the 4"lap and in two rows staggered with a fastener spacing of 9"o.c. in the center of the membrane. (Maximum Design Pressure—60 psf.See General Limitation#7) GAFGLASO#75 Base Sheet or any of above base sheets attached to deck with Drill-Tec'" #12 Fastener or Drill-TecT" #14 Fastener and Drill-TecT"3"Steel Plate,Drill-Tec"" AccuTrace Flat Plate or Drill-TecT"AccuTraco Recessed Plate 12"o.c.in 4 rows. One row is in the 2"side lap. The other rows are equally spaced approximately 9"o.c.in the field of the sheet. *Gee• • fMa Mum Design Pressure—60 psf.See General Limitation#7) • ***see A'ny of above Base sheets attached to deck approved annular ring shank nails and 3" •• • i$verted Drill-Tec T'insulation plates at a fastener spacing of 9"o.c.at the 4"lap staggered *00000 •. m two rows 9 in the field. ••••• •• J#Iaximum Design Pr'essur'e—60 psf.See General Limitation#7) Oo • • 0000• 0000 •••• • 0 • • • • •••• 0000 0000•• • • • 0000•• •;•••• ' . NOA No.: 13-1022.15 .• ECO NT1• Expiration Date: 11/04/18 •••••• ''• . Approval Date: 11/06/14 fee* Page 14 of 16 Fastening Options: GAFGLAS®#75 Base Sheet or any of above base sheets attached to deck with Drill-Tec'' (Continued) 412 Fastener or Drill-Teo'.914 Fastener and Drill-Tec '3"Steel Plate,Drill-Tec'" AccuTrace Flat Plate or Drill-Tec-AccuTraco Recessed Plate 8"o.c. in 4 rows.One row is in the 2"side lap. The other rows are equally spaced approximately 9"o.c.in the field of the sheet. (Maximum Design Pressure—75 psf.See General Limitation#7) Ply Sheet: One or more plies of GAFGLAS®Ply 4r GAFGLAS®#80 Ultima Base Sheet adhered in a fun muppM of approvM palut appaci within the EVT range and at a rate of 20-40 lbs./sq. Cap Sheet: (Optional) One ply of GAFGLAS®Mineral Surfaced Cap Sheet r GAFGLAS' opping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. Surfacing: Optional on granular surfaced membranes; required for smooth membranes.Chosen components must be applied according to manufacturer's application instructions. All coatings must be listed within a current NOA. 1. Gravel or slag applied at 400 lbs./sq. and 300 lbs./sq.respectively in a flood coat of approved asphalt at 60 lbs./sq. 2. Topcoat®Surface Seal SB applied at Ito 1.5 gal./sq. Maximum Design Pressure: See Fastening Options 60 6 6006 . 60 0000.. 6 0000.. .•0666 6 6 . . 6 • 6 60000• 06660• . 00 000000 0000. 0000 0000.. . . 66666 0000 0000 0 0 • 6 . 0000 0000 60000• 0000.. ::6600r—6 • NOA No.: 13-1022.15 6 Expiration Date: 11/04/18 6 6• M • D U .6 Approval Date: 11/06/14 • 6 6 6.6 Page 15 of 16 4 � � WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with GAFGLAS®Ply 4 and GAFGLAS®Flex PlyTm 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum 1/4"DensDeck7 Roof Board or%2"Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance;refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.,or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt,panel size shall be 4'x 4'maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12"diameter circles,24" o.c.; or strip mopped 8"ribbons in three rows,one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable.A 6"break shall be placed every 12'in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited to a maximum design pressure of 45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force(F')value of 275 lbf.,as tested in compliance with Testing Application Standard TAS 105. If the fastener value,as field-tested,are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required,as determined by the Building Oficial,a revised fastener spacing, prepared,signed and sealed by a Florida Registered Professional Engineer,Registered Architect,or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared,signed and sealed by a Florida registered Professional Engineer, Registered Architect,or Registered Roof Consultant(When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers,metal profile,and/or flashing termination designs shall conform to Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones(i.e.field, perixjetersand corners).Neither rational analysis,nor extrapolation shall be permitted for enhanced fastening at •• enha%Cd ptessurg zopgs(i.e.perimeters,extended corners and corners). (When this limitation is specifically • • referred v4thin fW§NCOA,General Limitation#7 will not be applicable.) •;qQ.•All pre*WN.-listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 6PG20-3 oftk®Honda Administrative Code. •••••• •• •• '• END OF THIS ACCEPTANCE ..... ... . ...... ..... .... .... •••••• ' , NOA No.: 13-1022.15 •• u► DE co Expiration Date: 11/04/18 •••••• -1,'PROVED I Approval Date: 11/06/14 sets Page 16 of 16 A%.1JWLJ_U6 Ljy awiva Page 2 of 53 Structural cement fiber building units are considered suitable to be included as a deck In the following Class A,B or C systems listed over C-15/32 or NC. The use of gypsum board under any of the following Class A,B or C systems does not adversely effect the rating.The use of W-In.minimum thick gypsum board is an acceptable alternate for minimum Insulation over C-15/32 thick roof decks. The use of polystyrene insulation board between minimum 114-In.thick periite board and deck with rosin paper(perlite/rosin paper/polystyrene/periite)is a suitable alternate for polyisocyanurate board in the following Class A,B or C systems. "EnergyGuard RA"or"Tapered EnergyGuard RA"or"EnergyGuard Composite RA"may be substituted for any Atlas polylsocyanurate Insulation in any of the following Classifications. Trumbull"Perma Mop"may be utilized with any of the following"Asphalt Felt Systems with Hot Roofing Asphalt". "GAFGLASO#80 Premium Base Sheet"may be used in any of the following systems. "GAFGLASO Flex Ply 6"and"Tri-PlyO Ultra-Flexible Ply 6"are suitable alternates to"GAFGLASO Ply 6". "GAFrEMP Permallte Recover Board"may be used in lieu of any perlite insulation in any of the following NC Classifications. Unless otherwise indicated,any of the"Asphalt Felt Systems with Hot Roofing Asphalt"may be surfaced with"Fireshleid MB"at 21h to 3-gal/100 ft2. "Ruberold@ Dual Smooth"may be used as an alternate to"RuberoidO Mop Smooth"or"Ruberold@ 20"or"Ruberold@ 20 HT" "Ruberold@ Mop Smooth 1.5"may be used as an alternate to"Ruberold@ Mop Smooth" Class A,B and C Hot roofing asphalt,for use with organic and glass felts or modified bitumen membranes. "Ruberold@ Heat Weld"SBS roofing membrane may be used In lieu of"Ruberold@ Mop"SBS products In any applicable Classification. Class A I.Deck C-15/32 Incline:3 Insulation(Optional):—One or more layers perlite or wood fiber or glass fiber or polyisocyanurate or urethane or perlite/polyisocyanurate composite or perlite/urethane composite or wood fiber/polyisocyanurate composite or phenolic,any thickness. Ply Sheet:—Three or more plies Type GI or"GAFGLAS@ Ply 4"or"Tri-Ply@ Ply 4"or"GAFGLAS@ Ply 6"hot mopped. Surfacing:—Gravel. 2.Deck:C-15/32 Incline:2 Insulation(Optional):—One or more layers perlite or wool fiber or glass fiber or polyisocyanurate or urethane or perlite/polylsocyanurate composite or perlite/urethane composite or wood fiber/polyisocyanurate composite or phenolic,any thickness. Ply Sheet:—Three or more plies Type G1 or"GAFGLAS@ Ply 4"or"Tri-Ply®Ply 4"or"GAFGLASO Ply 6". Cap Shut;-One ply Type G3"GAFGLASO Mineral Surfaced Cap Sheet"or"Tri-Ply@ Mineral Surfaced Cap Sheet"or"GAFGLAS@ EnergyCap BUR Mineral Surfaced Cap Sheet." 3.Deck NC Incliner 2 Insulation(Optional):—One or more layers perlite,wood fiber,glass fiber,polylsocyanurate,urethane,per1ite/polylsocyanurate composite,perlite/urethane composite,wood fiber/poiyisocyanurate composite,phenolic,2-in.maximum. Ply Sheet-—Two or more plies Type G1"GAFGLASO Ply 4",'Tri-Plys Ply 4"or"GAFGLAS@ Ply 6". Cap Sheets—One ply Type G3"GAFGLASO Mineral Surfaced Cap Sheet"or'rri-Ply@ Mineral Surfaced Cap Sheet"or"GAFGLASO EnergVCap•4BUR Mineral Surfaced Cap Sheet." • • • • • i IMIG C-15/32 • ••• i Incline:1 •s•••• • Slip Sheer(001011806-tM rosin paper,nailed to deck. • •••• Insuhrtion(optional).-—Any thickness perifte or wood fiber or glass fiber or polyisocyanurate mechanically fastened or adhered with OMG "Oond FAI IT System"or any UL Classified insulation adhesive. • •••• easeMie to—One zY02"GAFGLAS@#75 Base Sheet"or"Tri-Ply@#75 Base Sheet"(may be nailed). •;•• ply SZk One or more plies Type G1"GAFGLASO Ply 4"or"Tri-Ply@ Ply 4"or GAFGLASS Ply 6". Cap -a One pll{M%%P"GAFGLAS(&Mineral Surfaced Cap Sheet"or"Tri-Ply@ Mineral Surfaced Cap Sheet"or"GAFGLASO •••i EnergyB&PV%BUR MlnerebSurfaced Cap Sheet." •.AW.//da4l54se.Ul.cor iAcotbin/) YV/template/LISEXT/lFRAME/showpage.hbnl?name=T... 3/14/2411 • • ••• • .. • • 000000 000000 . . ` Miami Shores Village Building Department 10050 N.E.2nd Avenue I�tpR ► Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owners Name: Lit #AlgX-1 Property Address:/ 0 /� Roofing Permit Number: Dear Building Official: I A60-0le s3 45i5: certify that I am not required to retrofit the roof to wall connections of my building because: ❑The just valuation for the structure for purpose of ad valorem taxation is less than$300,000.00. Please attach proof of ad valorem taxation. The building was constructed in compliance with the provisions of the Florida Building Code(FBC)or with the provisions of 1994 edition of thp South Florida Building Code(1994 SFBC) N`a✓'�'t1Q Z ^cGeP Signature Print Name State of Florida County of Dade The undersigned, being the first duly sworn,d es and says that h is the owner for the above property mentioned. Sworn to and subscribed before me this X day o 1/ a�Pa`',B<,� HENISSE CARRERA MY COMMISSION#FF 120123 Notary Public, Sate of Florida at Lar EXPIRES:May 6,2018 Q Services �TFOF F�� • when the just valuation of the sstnftre for purpose of ad valorem taxation Is equal to or more than$300,000.40,and the budding was riot constnmted with FBC nor a 1994 SFBC.Then you must provide a budding application from a General Contractor for the Roof to wall connedron Hurricane Mitigation. Revised on 5/21/2009 Lab Report No. 126252 FLORIDA TEC PROVIDING SOLUTIONS TO THE ROOFING INDUSTRY C.A.#30448 Lab Certificate#13-0507.02 SPECIAL INSPECTON REPORT FOR ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE-BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO§553.844 DATE: July 20,2016 COMPANY NAME: A-1 Jose Jose Roofing PROJECT ADDRFM. 1201 NE 103rd St,Miami Shores INSPECTION TYPE: Strap Inspection Florida T.E.C. has inspected the roof to wall connection at the above property in order to substantiate the method of strap installation according to the Hurricane Mitigation Retrofit for Existing Site Built Residential Structures. The following was observed: (1) Each joist had a Simpson Strong-Tie LGUM Hanger at both ends fastened with 4 screws, into the joist and 4 screws into beams As per statute 553.844 section 201.3.2 of the Hurricane Mitigation Requirement and Chapter 6 section 611.8.1.6 of the Florida Building Code,a minimum of 4 fasteners per truss is required. (2) Roof Type: Flat To the best of my knowledge, belief and professional judgment, the above-mentioned details complies with the Hurricane Mitigation Retrofit for Existing Site Built Residential Structures and/or the minimum requirements of the Florida Building Code.This report is not to be construed as a warranty of the roof, only the representation of the actual conditions at time of inspection in the areas inspected. Disclaimer: This inspection is not to be construed as a warranty or an endorsement of the suitability of the home against a high wind event. This inspection is limited to a visual observation of areas readily available for inspection. Some areas of the attic may have not been accessible for inspection. Sin Alberto Cardona,P.E. -Lic.No. 17138 _ 10735 SW 216 'St. Unit 416 , Tel:305-256-4550 Miami FL 33170 Page 1 of 2 Fax:305-256-6833 www.FloridaTEC.net Lab Report No. 126252 FLORIDA TEC PROVIDING SOLUTIONS TO THE ROOFING INDUSTRY C.A.#30448 Lab Certificate#13-0507.02 SPECIAL INSPECTON REPORT FOR ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE-BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO§553.844 DATE: July 20,2016 COMPANYNAME. A-1 Jose Jose Roofmg PRO.IECTADDRFM. 1201 NE 103rd St.,Miami Shores INSPECTION TYPE. Strap Inspection Florida T.E.C. has inspected the roof to wall connection at the above property in order to substantiate the method of strap installation according to the Hurricane Mitigation Retrofit for Existing Site Built Residential Structures. The following was observed: (1) Each joist had a Simpson Strong-Tie LGUM Hanger at both ends fastened with 4 screws into the joist and 4 screws into beams As per statute 553.844 section 201.3.2 of the Hurricane Mitigation Requirement and Chapter 6 section 611.8.1.6 of the Florida Building Code,a minimum of 4 fasteners per truss is required. (2) Roof Type: Flat To the best of my knowledge, belief and professional judgment, the above-mentioned details complies with the Hurricane Mitigation Retrofit for Existing Site Built Residential Structures and/or the minimum requirements of the Florida Building Code. This report is not to be construed as a warranty of the roof, only the representation of the actual conditions at time of inspection in the areas inspected. Disclaimer: This inspection is not to be construed as a warranty or an endorsement of the suitability of the home against a high wind event. This inspection is limited to a visual observation of areas readily available for inspection. Some areas of the attic may have not been accessible for inspection. Sin , ,J L Alberto.Cardona,P.E. Lie.No. 17138 10735 SW 2161111 St., lhiit 416 ' Page 1 of 2 Tel:305-256-4550 Miami FL 33170 www.FloridaTEC.net Fax:305-256-6833 • FLORIDA TEC PROVIDING SOLUTIONS TO THE ROOFING INDUSTRY PICTURES xa u r r t I I 10735 SW 216th St. Unit 416 Te(: 305-256-4550 Miami FL 33170 Page 2 of 2 Fax: 305-256-6833 www.FloridaTEC.net FLORIDA TEC PROVIDING SOLUTIONS TO THE ROOFING INDUSTRY PICTURES 4.,T .ag 1- i 10735 SW 216`^St. Unit 416 Tel: 305-256-4550 Miami FL 33170 Page 2 of 2 Fax: 305-256-6833 www.FloridaTEC.net